Individual
SUZANNE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
401 LEWIS HARGETT CIR STE 120, LEXINGTON, KY 40503-3564
(859) 475-4305
Mailing address
400 SYCAMORE DR, TAYLORSVILLE, KY 40071-6654
(317) 308-1052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
251720
KY
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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